Gout develops when excess uric acid forms crystals in and around a joint. Tophi from gout are firm lumps created by deposits of these crystals beneath the skin or within tissue. They usually appear after gout has remained poorly controlled for a long period of time, especially when attacks happen frequently. Tophi can form near the big toe, ankle, or heel. Some lumps are small and difficult to notice, while others become large enough to change the shape of a joint. Their presence is a sign of advanced gout and possible damage beneath the surface.

Tophi do not always hurt, but they can create foot problems. A lump can press against a shoe and make standing or walking uncomfortable. Larger deposits can limit joint movement, weaken tissue, and damage bone. The skin covering a tophus can become thin or break open, releasing a white, chalk-like material. An open area also raises the risk of infection. Warning signs include increasing redness, warmth, and drainage. Numbness or burning pain can develop when a deposit presses on a nerve. Changes in foot shape can also affect balance and place added pressure on other parts of the foot.

A podiatrist can examine the lumps, review the patient’s history of gout, and check how well the affected joints move. X-rays or other imaging can reveal hidden deposits and show damage to bone or cartilage. The podiatrist can also evaluate pressure points, treat open skin, and recommend fitted shoes or custom orthotics. Surgery is reserved for severe cases involving infection, major joint damage, or pressure on a nerve. Foot examinations help the podiatrist track changes and protect mobility. If you have symptoms of tophi formation from gout, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Jennifer Swan, DPM from Right Step Foot Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact our office located in Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sports-related foot and ankle injuries can affect athletes at every level and interfere with training or competition. The foot and ankle absorb force, support body weight, and help the body change direction. Injuries can occur suddenly or develop from repeated stress. Ankle sprains are among the injuries seen in sports and can happen when the ankle rolls beyond its normal range. Stress fractures and Achilles tendon injuries can also affect active patients. Pain, swelling, and reduced movement can make it difficult to run or return to a sport safely.

The type of injury depends on the sport, playing surface, and demands placed on the foot or ankle. Repeated jumping and running places stress on bones and soft tissues. Quick changes in direction increase strain around the ankle. Some injuries involve ligaments, which are strong bands of tissue that connect bones. Others affect tendons, which connect muscles to bones. A careful evaluation is important because symptoms can overlap. What feels like a minor sprain can sometimes involve another structure or a more significant injury.

A podiatrist evaluates sports-related foot and ankle injuries by examining the painful area, movement, and stability. The exam also considers how the injury happened and which activities increase symptoms. Treatment depends on the injured structure and the severity of the problem. A podiatrist can provide immobilization or supportive devices when appropriate. Treatment can also include guided rehsabilitation exercises to restore strength and movement. A podiatrist also guides a safe return to activity and addresses factors that could increase the chance of another injury. If you have symptoms of a sports-related foot or ankle injury, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Jennifer Swan, DPM of Right Step Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our office located in Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis causes heel pain that develops when the plantar fascia becomes irritated. This strong band of tissue runs along the bottom of the foot and supports the arch. Symptoms often include sharp pain near the heel, especially during the first steps after waking. Pain may also appear after sitting or standing for a long time. Some people notice discomfort after exercise or prolonged walking.

Several factors can increase the risk of plantar fasciitis. Standing for long periods can place repeated stress on the plantar fascia. Running and other high-impact activities may also increase strain. Flat feet, high arches, and tight calf muscles can change how pressure moves through the foot. Being overweight may add extra stress as well. Wearing shoes that lack proper support can make symptoms more noticeable and may slow recovery.

Gentle stretching can provide relief by reducing tension through the calf and plantar fascia. A podiatrist may recommend calf stretches and stretches based on the symptoms. Rolling the foot over a frozen water bottle may also help soothe discomfort. During an evaluation, the podiatrist checks your walking pattern, foot structure, and range of motion. Treatment may include choosing supportive footwear, being fitted for custom orthotics, or temporary activity changes. Imaging tests may be ordered when another condition needs to be ruled out.

The goal of treatment is to reduce pain while allowing irritated tissue to heal. Following a podiatrist's recommendations can help prevent symptoms from becoming persistent. Seek evaluation if heel pain continues, returns frequently, or interferes with normal activities. Early care can make daily movement more comfortable and help you return to activities with confidence. If you have heel pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Jennifer Swan, DPM  from Right Step Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A diabetic foot ulcer is an open sore that develops on the foot of someone with diabetes. High blood sugar can damage nerves and blood vessels, making injuries harder to notice and slower to heal. Early signs include redness, swelling, or a small blister. Other symptoms include drainage, odor, or skin color changes. Recognizing changes early can help protect the foot, support healing, and lower the risk of serious complications.

Understanding the stages of foot health can make prevention easier. A normal foot has healthy skin, good circulation, and intact sensation. An at-risk foot may have calluses, reduced sensation, or poor circulation. A foot with an ulcer has a break in the skin that needs professional evaluation. An infected foot may become increasingly red, swollen, or draining. Risk factors include diabetes, smoking, and previous wounds.

A podiatrist begins treatment by examining the wound and checking circulation, sensation, and infection. The ulcer may be measured, photographed, and carefully cleaned. Damaged tissue may be removed through debridement, when appropriate. Treatment may include wearing specialized footwear, off-loading devices, or wound dressings. If infection is present, appropriate medication may be needed. Good blood sugar management also supports healing and recovery over time.

Diabetic foot ulcers should never be ignored. Regular foot checks, wearing properly fitted footwear, and diabetes management can help lower ulcer risk. Keep feet clean and dry, avoid walking barefoot, and contact a podiatrist when you notice a wound or unusual change. Podiatric care can identify the cause, protect surrounding tissue, and support steady healing. If you have a diabetic foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jennifer Swan, DPM from Right Step Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.